A patient has been diagnosed with COPD.
What are two conditions that can lead to this disease?Choose 2 answers

A. Tuberculosis:

TB is a lung infection, not commonly associated with secondary hypertension.

B. Endocarditis:

Endocarditis is an infection of the heart valves, leading to emboli and heart failure but not directly causing hypertension.

C. Obstructive sleep apnea:

OSA can cause secondary hypertension due to intermittent hypoxia and sympathetic nervous system activation during sleep.

D. Polycythemia:

Polycythemia increases blood viscosity, which can lead to increased blood pressure, but it's a less common cause than conditions like OSA, renal disease, or endocrine disorders for secondary hypertension.

A. Tachycardia:

Tachycardia is not a primary symptom of Lyme disease; it may occur if there’s secondary heart involvement (Lyme carditis) but is not the most common symptom.

B. Joint pain:

Lyme disease often causes migratory joint pain, especially in large joints like knees, often appearing weeks to months after infection.

C. Dark Urine:

Dark urine is more typical in liver disease or hemolytic conditions, not Lyme disease.

D. Cold Intolerance:

Cold intolerance is associated with hypothyroidism, not Lyme disease.